abstractA single blind randomized pretest-posttest control group-quasi experiment was done to analyze the effect of star fruit and cucumber juice to decrease systolic and diastolic blood pressure of hypertension patients at Grati Public Health Care Center, Pasuruan, East Java. Screening test was done to find out the hypertension patient, and 28 patients were got and then grouped into treatment and control group consisting of 14 patients each. Each patient in treatment group drank a glass of the juice everyday during two weeks, on the other hand the patients in control group did not. However, the blood pressures of both groupsâ patients were controlled by having them take the same medicine given by the health care center. After two weeks, posttest to measure systolic and diastolic blood pressures was measured to find out whether there was any difference in blood pressure before and after the treatment and also the difference of decreasing of the blood pressure between the patients in treatment and control group after the treatment. Anacova test was applied to analyze factors suspected to affect blood pressure. However, since the result showed that there were no significant variables affecting blood pressure, then t-test was applied further. The result of the study showed that there was no difference in systolic and diastolic blood pressures between the two groups at the beginning of this research. However, in treatment group, there was difference in systolic and diastolic blood pressure before and after treatment. While in control group, there was no difference in systolic and diastolic blood pressures. Another finding showed that there was no difference in the decrease of systolic blood pressure between treatment and control group, but there was difference in the decrease of diastolic blood pressure.Key words: systolic and diastolic blood pressure, star fruit and cucumber juice, hypertension

The objective of the study was to investigate the effect of ENTRASOL and MP-ASI BISCUIT on improving body weight and height of under five children with under nutrition in Jembrana Regency. This is an experimental study was under taken for 30 days (four weeks), the first group was given ENTRASOL and the second group was given MP-ASI BISCUIT. The study subjects were under five children aged 12 until24 months with under nutrition status. Subject were devided into two groups, each group comprising 16 under five children. The two treatment groups showed average increase of body weight and height before and after treatment. The higher difference of body weight was found in group receiving ENTRASOL (0,8 Â± 0,1) kg, than in group MP-ASI BISCUIT (0,6 Â± 0,2) kg. And about height, the higher difference was found in group receiving ENTRASOL (0,3 Â± 0,1) cm, than in group MP-ASI BISCUIT (0,2 Â± 0,1) cm. The result of Paired t test for increase of body weight and height before and after treatment for ENTRASOL and MP-ASI BISCUIT groups revealed significant difference in both group. In the other hand, high significant difference was found between ENTRASOL and MP-ASI BISCUIT by using independent t test. It was concluded that, the effect of ENTRASOL was better than MP-ASI BISCUIT to improved body weight an height of under fives child with under nutrition status.Key words: ENTRASOL, MP-ASI BISCUIT, nutritional status, under fives children, body weight, height

Stunting is a condition of low height for age among children that indicate a linear growth failure as an impact of chronic malnutrition.There are many factors related to toddlers’ linear growth. Therefore this research was conducted to analyze factors associated with nutritionalstatus of stunted toddlers, including family characteristics, characteristics of toddlers, consumption patterns, energy consumption and proteinlevels, health status and infant health services. This is a cross sectional research conducted at district of Gresik, East Java. Study sampleswere 52 toddlers aged 12 to 60 months. The results indicates that 50% of toddlers in this study was stunting. Most of toddlers (80.77%) withhigh frequency of illness (≥ 3 times per month). Respiratory diseases was prevalent among them. About 63.25% attended in posyandu actively,53.85 of them eat food 3 times a day and 69.23% consumed staple food, side dishes and vegetables. Based on the Mann-Whiney U Test andChi-square test shows that there is a signifi cant relationship between stunted toddlers under fi ve with the age, the type of meal consumption,and attendance at the neighborhood health services (Posyandu), illness frequency and illness duration (p < 0.05). It’s concluded that there arefactors associated with the occurrence of stunted children under fi ve: the type of food consumption, activities to attend neighborhood healthservices, illness duration and frequency of infection suffered by toddlers.Key words: stunting, nutritional status, linear growth

Generally, Iodine Deficiency Discorders (IDD) is prevalent among people who live in mountain areas with low iodine content in the soil, drinkin-water and the foods-stuff. Recently, based on several studies, it is reported that the IDD cases are also found among people who live along coastal areas. No one report has explained the possible cause explicitly. The objective of this study is to analyze the iodine content of foods-stuff consumed in endemic and nonendemic coastal areas to explore the possible factors influencing IDD in villages along coastal areas. The study was conducted from April to August 1998 in the coastal area of Belimbing Village, Paciran sub district (as endemic coastal area) and Labuhan Village, Brondong sub district (as nonendemic coastal area), Lamongan Regency, East Java Province. The two villages are located along Java Sea. For this purpose 30 school children were selected as samples from each village ("Sekolah Dasar Belimbing I" and "Sekolah Dasar Labuhan 117". The food consumption data were collected by using food frequency questionnaire and the iodine content in foods-stuffs were measured quantitatively in laboratory. The result of this study shows that the iodine content in most of the foods-stuff in Belimbing Village is lower than Labuhan Village. The difference is around 2.5- 4.5 microgram/100g for sea production, and around 0.025-0.59 microgram/100g for vegetables and fruits.

Background: Nganjuk was included in 7districts with highest malnutrition in East Java. Prevalence index of weight/age was 4.80%, height/age was 17.40% and weight/height was > 20% (Riskesdas, 2008). In 2009 malnourished under five children was 715. Objective of this research was analyzing the effect of zinc supplement and biscuit MP-ASI for the nutritional status and hair zinc concentration for under five children. Methods: conducted in the working area community health center Kertosono, Nganjuk regency, East Java. Sample of research was children 12-60 months who have Zinc hair concentration < 150 Jig/Kg that was divided into two groups. Total subject was 26 under five children that divided into two groups. One was treatment group who received biscuit MP-ASI and zinc syrup and the other was control group who received biscuit MP-ASI and placebo syrup. Each group was collected by simple random sampling. Results: There were significant differences of body weight in the treatment group and control group before and after research,using paired t-test (p = 0.000). There were significant differences of body height in the treatment group and control group before and after research, using paired t test (p = 0.000). There were significant differences of category hair zinc concentration in the treatment group before and after research with Me Nemar Test (p = 0.031). Conclusion: Supplementation can increase the body weight and body height both of two groups, but nutrition status in the treatment group increased highly than in the control group. Hair zinc concentration in the treatment group increased highly than in the control group. Key words: Malnutrition, zinc sulfate, biscuit Complementary feeding, levels of hair zinc

Background: Elderly people tend to have higher susceptibility to infections because of immune dysfunction, especially cell-mediated immune system which is related to zinc deficiency. Zinc has an important role in the cell-mediated immune system which can be determined by CD4 count. Objectives: To determine the zinc level in the serum and CD4 count in healthy elderly and the correlation between the zinc level in the serum and CD4 count. Method: This was a randomized cross-sectional study. Twenty seven healthy elderly subjects of both sexes aged 60-90 years were recruited for this study from a senior center. Zinc level in the serum and CD4 count were measured. Result: The average of CD4 count was 710 + 269 cells/ml, and the average of zinc level in the serum was 87,29 + 10,27 Î¼g/dL. Twenty six percent elderly had low CD4 count (<460cells/ml. There was no zinc deficiency among the elderly but 30% elderly had zinc level 70- 80 Î¼g/dL. There was a significant correlation (p<0,05) between zinc level and CD4 count, which was analyzed using Pearson correlation method.Conclusion: CD4 count has correlation with zinc level in the serum in elderlyKeywords: Zinc level, CD4 count, elderly

Â ABSTRACTIn recent days, many postnatal infection incidences caused by poor sectio cesaria wound healing process or unhealed sectio cesaria wound are found. In fact, sectio cesaria should be âhygieneâ operation measure and having infection rate not more than 2%. Malnutrition is considered as one of infection causes. This research was performed to identify relationship between nutrition consumption levels and wound healing process after sectio cesaria operation. This research was performed by cross sectional design using quantitative and qualitative approaches. Interview and observation were conducted on 51 postnatal mothers with sectio cesarea wounds who had met the criteria. Subjects were collected from population by simple random sampling. Further interview was performed to obtain more detail information about the variable researched. Independent variables were age, educational level, knowledge, expense for food, consumption pattern and nutrition consumption level. The dependent variable was wound healing process post sectio cesaria operation. Based on Spearman correlation statistical test, it was obtained correlation coefficient of 0.767 (r > 0.5) or p = 0.000 (< 0.05). Test result showed that there was a significant relationship between respondent nutrition consumption and wound healing process post sectio cesarea operation. It could be concluded that post natal mother had good nutrition consumption level through their complete wound healing process (by primary process) and post natal mother who had poor consumption level were at risk to experience infection on their post sectio cesaria wound (by secondary process).Â Keywords: consumption, nutrition, sectio cesarea

Background: WHO classified the number of leprosy cases in Indonesia as number three in the world after India andÂ Brazil. The number of new leprosy patients tends to increase since there is a possibility that seropositive leprosy is turningÂ into manifest leprosy. The aim of this study was to analyze the influence of zinc supplementation on interleukin-2 (IL-2)Â level of seropositive contact of leprosy patients with marginal zinc deficiency.Methods: Twenty two subjects aged 20-40 years were recruited for this study. The zinc-supplemented group received 40Â mg elemental Zn/d orally for 3 months. Seropositive leprosy was determined by examining IgM anti Phenolic Glycolipidâ1Â level and concentration of IL-2 in lymphocyte cell culture supernatant fluid were measured by Elisa method.Results: The IL-2 concentration in the subject in the zinc group was relatively not changed (p= 0.721), whereas that inÂ placebo group tended to be significantly lower (p= 0.025) at the end of the study.Conclusion: There was a significant change of IL-2 level between both groups (p= 0.037). (Med J Indones 2011;20:201-4)Keyword: IgM anti phenolic glycolipid-1, seropositive leprosy

Background: Hypertension closely related to impaired endothelial dependent vasodilation due to a decline in theavailability of nitric oksid (NO) and high fat intake, decreased Nitric Oksid caused due to increased levels ofsuperoksid.Objective: to analyze the differences in the levels of Superoksid Radical (O2-), Nitric oxide (N0) and fat intake inpatients with hypertension and not hypertension .Methods: this research is cross sectional, research amount sampelnya taken at random. 24 respondent patientsconsisting of 12 cases control, and 12 the age of 65 40- tahun.pengambilan samples conducted in outpatient installationregional general hospital Sidoarjo. Done bseline superoksid levels, nitric oxide and recall fat intake.Results: the average rate of Superoksid respondents not hypertension 0.250Â± 0, 034U/mL, 0,314Â± 056U/mLhypertension, Average levels of Nitric oksid respondents not hypertension 116,083Â± 46,962Î¼ M, of which hypertension72,333Â± 40,51Î¼ M, average consumption of fat respondents not hypertension 41,65Â± 8, 32gram, 51,52Â± 6,74gramhypertension . Based on the test results the difference against Superoksid levels of both research groups using a t-testtwo samples are free retrieved the value p < 0,05 (p = 0,004), NO content retrieved the value p < 0,05 (p = 0,023), fatintake obtained the value of p < 0,05 (p = 0,004) which means that there is a meaningful difference in the levels ofSuperoksid, Nitric oxide and the level of fat intake among respondents with no hypertension and hypertension.Conclusion: there is a radical difference in the levels of Superoksid, NO (Nitric Oxide) and fat intake in patients withhypertension and not hypertension.